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Peartree ABI
Care Pathway

Read more about the
types of care we undertake
at Peartree House

Peartree care pathway
staff memeber using computer

The team

The Peartree Multi-disciplinary Team (MDT) has significant experience working with individuals who have sustained an acquired brain injury to realise optimum rehabilitation and quality of life care. The MDT approach enables each member to contribute their individual specialist skills and work closely together to ensure that the targets are realistic and regularly reviewed. The team co-ordinate programmes of care and rehabilitation and liaise closely with each individual and their family throughout their stay.

Consultant in Rehabilitation Medicine

Our consultant, who is very experienced in brain injury and other neurological conditions, is able to provide input and give an overview to ensure that the medical, therapeutic and social aspects of rehabilitation are co-ordinated in an effective manner. A GP attached to Peartree House conducts twice-weekly rounds with the senior nurse and there is 24-hour emergency medical cover.


A dedicated nursing team operates 24 hours a day to ensure that a high standard of care is delivered. The nursing team is led by a senior nurse who has many years experience of leading teams. Working closely with our experienced registered nurses and support workers, they provide interventions covering areas such as nutrition, tissue vialibility,dispensing medicines, monitoring general wellbeing, management of peg feeds, emotional support and ensuring each individual`s personalised care plans are implemented and up to date. The team also provides an essential link between each individual and their relatives.

Consultant Clinical Neuro-Psychologist

The aim of the psychology department at Peartree House is to address the emotional and psychological needs of individuals who have acquired brain injury. This includes assessing their behaviour and their cognitive functioning: memory, concentration, and executive skills. The psychology department also assist the MDT team to develop the skills and abilities of each individual. This can be achieved through a one-to-one with each individual and also by developing behavioural programmes with the multi-disciplinary team.

The ultimate aim of a psychological approach is to optimise the cognitive and behavioural function of each individual in order to facilitate their process of rehabilitation. This approach utilises a process of cognitive and behavioural assessment followed by established therapeutic interventions designed to enhance mood state, modify challenging behaviour and improve cognitive functions such as memory, concentration, problem solving and speed of thinking.

Occupational Therapy Department

Occupational Therapy develops individual skills to cope with the normal activities of daily living - with assessment and development of cognitive and perceptual functions such as planning, sequencing and memory. An integral part of the rehabilitation process is to achieve goals and make the transition to community living.

We assess an individual’s physical, cognitive, behavioural and social needs following a trauma - we establish an individual’s potential for regaining skills in activities of daily living including personal care, meal preparation, cognitive retraining and accessing community resources to pursue training, work opportunities and leisure interests to provide a better quality of life.

The team is led by the Head OT who has many years experience of working in this specialist area. The rehabilitation assistants support clients with individual specific programmes aimed at achieving rehabilitation goals.

Physiotherapy Department

The physiotherapy department addresses the physical needs of each individual by maximising the ranges of movement and strength of muscles, and assists individuals in becoming independently mobile, whether that be in a wheel chair, or walking with or without a walking aid. Treatment is focused on increasing balance, co-ordination and mobility, as well as preventing secondary complications such as contractures brought about by disuse of limbs.

During an individual’s rehabilitation, the physiotherapy department work closely with other departments, to ensure that there is a coordinated approach to treatment and any improvements made in their physical abilities are transferred as they improve functionally.

Speech and Language Therapy

This team works closely with the nursing staff by encouraging therapeutic activities outside specific therapy sessions, to address and improve the communication and swallowing difficulties through:

  • Direct therapy, usually on a one-to-one basis to achieve a specific target or indirect therapy within a group session to encourage carryover of therapy strategies.
  • Consultation with appropriate members of staff to maximise and maintain the individual’s communication and / or swallowing status.
  • Working within the multi-disciplinary team, to allow techniques to be consistently used by all members of the rehabilitation team.


Food and eating are important to most people. Many people with brain injury have special dietary requirements and it is important that these are addressed to prevent malnutrition.
A Dietician visits Peartree House one day a week. On admission, all clients receive a nutrition assessment and a plan is developed to meet their nutritional requirements. This is discussed with clients and their family and implemented in conjunction with other health professionals and the catering department.